Carpal Tunnel Surgery

What is Carpal Tunnel Syndrome?

At MirAge Clinic, we understand that Carpal Tunnel Syndrome (CTS) is more than just an inconvenience—it’s a painful and sometimes debilitating condition that affects the median nerve located in the wrist. This nerve is like a vital highway, providing sensation and motor control to your hand. When the tunnel, formed by bones and ligaments, narrows due to swelling or other changes, it can lead to the classic symptoms of CTS.

Carpal Tunnel Syndrome Causes and Risk Factors

CTS can stem from a variety of factors. Sometimes, it’s due to the anatomical structure of your wrist or the result of an injury. Other times, it might be related to repetitive motions or underlying health conditions such as diabetes or rheumatoid arthritis. Understanding these factors is key to prevention and early treatment.

What are the Symptoms of Carpal Tunnel Syndrome?

Symptoms often start gradually, with a burning, tingling, or itching numbness in your palm and fingers. You might feel like your fingers are swollen when they’re not, or you may experience discomfort in your wrist and arm. It’s common for these symptoms to appear during the night initially, as many people sleep with bent wrists.

How is Carpal Tunnel Syndrome Diagnosed?

At MirAge Clinic, diagnosis involves a detailed discussion of your symptoms and a physical examination of your hand. We may conduct tests, such as nerve conduction studies, to measure how electrical impulses move through the carpal tunnel and to assess the function of the median nerve.

Treatments

Initial treatments can be as simple as resting the affected hand, splinting the wrist, or managing inflammation with cold packs. When these aren’t enough, we might suggest targeted medications or injections to reduce inflammation and relieve pressure on the median nerve.

Surgery

Carpal tunnel release surgery is a procedure we perform at MirAge Clinic to provide lasting relief from the symptoms of Carpal Tunnel Syndrome. This surgery is typically brief, often taking approximately 20 to 30 minutes to complete, and is conducted under local anesthesia, which means you’ll be awake but the area being operated on will be numb.During the procedure, the surgeon will make a small incision in the palm of your hand near the wrist. Through this incision, the transverse carpal ligament is cut to relieve the pressure on the median nerve. By dividing this ligament, we’re creating more space within the carpal tunnel and decreasing the pressure on the nerve. The surgery is usually done on an outpatient basis, meaning you won’t have to stay overnight in the hospital. After the surgery, your hand will be bandaged, and you will be able to go home the same day.

How Soon After Treatment Will I Feel better?

Recovery time can vary, but many patients report immediate relief from nighttime symptoms. Complete recovery, including the disappearance of numbness and strength gain, might take longer—typically a few months, with full hand use often resuming within 4-6 weeks post-surgery.

What Are the Risks Of the Surgery?

Like all surgeries, carpal tunnel release comes with potential risks such as infection, nerve damage, and incomplete release of the ligament. However, these are rare, and our team at MirAge Clinic takes every precaution to minimize them.

Side Effects of Carpal Tunnel Surgery

While carpal tunnel release surgery at MirAge Clinic is a routine and typically successful procedure, as with any surgical intervention, there are potential side effects. One of the side effects that some patients may experience is a decrease in grip and pinch strength. This can occur due to the cutting of the transverse carpal ligament, which may affect the hand’s ability to grip as strongly as before. However, with proper aftercare and rehabilitation, many patients can regain strength over time. It is essential for patients to follow post-operative care instructions closely, including hand therapy if recommended, to optimize recovery of hand strength and function.

What Are the Immediate and Long-term Results?

Immediate results include a significant reduction in pain and discomfort. In the long term, surgery can halt the progression of nerve damage and improve hand function and strength. It’s essential to understand that for some patients, especially those with severe CTS, some symptoms might persist.

Aftercare

Following the surgery, our team provides comprehensive aftercare instructions. This may include wrist immobilization, ice application to reduce swelling, elevation of the hand, and specific exercises to promote healing. Adhering to these aftercare protocols is crucial for a successful recovery.